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This entry was published on 2014-09-22
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SECTION 177.05
Health care fraud in the fifth degree
Penal (PEN) CHAPTER 40, PART 3, TITLE K, ARTICLE 177
§ 177.05 Health care fraud in the fifth degree.

A person is guilty of health care fraud in the fifth degree when, with
intent to defraud a health plan, he or she knowingly and willfully
provides materially false information or omits material information for
the purpose of requesting payment from a health plan for a health care
item or service and, as a result of such information or omission, he or
she or another person receives payment in an amount that he, she or such
other person is not entitled to under the circumstances.

Health care fraud in the fifth degree is a class A misdemeanor.